Effect of atorvastatin calcium plus clopidogrel in the treatment of patients with transient ischemic attacks and its effect on blood lipids and platelets.

IF 1.7 4区 医学 Q4 NEUROSCIENCES
International Journal of Neuroscience Pub Date : 2025-04-01 Epub Date: 2024-02-08 DOI:10.1080/00207454.2024.2303373
Maocheng Bian, Fei Zhong, Jian Wan
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引用次数: 0

Abstract

Objective: To explore the clinical effect of atorvastatin calcium combined with clopidogrel in the treatment of patients with transient ischemic attacks (TIAs) and its effect on blood lipids and platelets.

Methods: Low-density lipoprotein cholesterol (LDL-C)], platelet-related parameters [prothrombin time (PT), activated partial thromboplastin time (APTT), platelet count (PLT)], incidence of cerebral infarction, and adverse reactions.

Results: The clinical outcomes of the experimental group patients were significantly better than those of the control group patients (p < 0.05). The experimental group exhibited notably lower levels of TG, TC, and LDL-C compared to the control group (p < 0.05). Platelet-related indices-PT, APTT, and PLT-showed no significant differences between groups before and after treatment (p > 0.05). The incidence of cerebral infarction was notably lower in the experimental group (p < 0.005), while the occurrence of adverse reactions showed no significant difference between groups (p > 0.05).

Conclusion: Atorvastatin calcium combined with clopidogrel demonstrates a positive impact on individuals with TIAs by significantly lowering levels of LDL, total cholesterol, and triglycerides. However, it is noteworthy that platelet-related indices did not exhibit significant differences between the experimental and control groups. While the observed improvements in blood lipids are attributed to the effects of atorvastatin, the combination with clopidogrel did not show a substantial influence on platelet-related parameters. Thus, the overall therapeutic impact, particularly on platelet-related indices, may require further investigation and clarification. Despite these nuances, our findings suggest potential benefits in reducing the risk of adverse reactions and cerebral infarction, supporting the consideration of this approach for wider clinical use.

阿托伐他汀钙联合氯吡格雷治疗短暂性脑缺血发作患者的效果及其对血脂和血小板的影响
目的探讨阿托伐他汀钙联合氯吡格雷治疗短暂性脑缺血发作(TIA)患者的临床效果及其对血脂和血小板的影响:方法:观察阿托伐他汀钙联合氯吡格雷治疗短暂性脑缺血发作(TIA)患者的血脂、血小板、低密度脂蛋白胆固醇(LDL-C)、血小板相关指标[凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、血小板计数(PLT)]、脑梗死发生率以及不良反应。结果实验组患者的临床疗效明显优于对照组患者(P < 0.05)。实验组的 TG、TC 和 LDL-C 水平明显低于对照组(P 0.05)。实验组脑梗死发生率明显低于对照组(P 0.05):结论:阿托伐他汀钙联合氯吡格雷可显著降低低密度脂蛋白、总胆固醇和甘油三酯的水平,从而对TIA患者产生积极影响。然而,值得注意的是,实验组和对照组之间的血小板相关指数并无明显差异。虽然观察到的血脂改善归因于阿托伐他汀的作用,但与氯吡格雷的联合用药并未对血小板相关指标产生实质性影响。因此,整体治疗效果,尤其是对血小板相关指标的影响,可能需要进一步研究和澄清。尽管存在这些细微差别,但我们的研究结果表明,联合用药在降低不良反应和脑梗死风险方面具有潜在的益处,支持考虑将这种方法更广泛地应用于临床。
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来源期刊
CiteScore
5.10
自引率
0.00%
发文量
132
审稿时长
2 months
期刊介绍: The International Journal of Neuroscience publishes original research articles, reviews, brief scientific reports, case studies, letters to the editor and book reviews concerned with problems of the nervous system and related clinical studies, epidemiology, neuropathology, medical and surgical treatment options and outcomes, neuropsychology and other topics related to the research and care of persons with neurologic disorders.  The focus of the journal is clinical and transitional research. Topics covered include but are not limited to: ALS, ataxia, autism, brain tumors, child neurology, demyelinating diseases, epilepsy, genetics, headache, lysosomal storage disease, mitochondrial dysfunction, movement disorders, multiple sclerosis, myopathy, neurodegenerative diseases, neuromuscular disorders, neuropharmacology, neuropsychiatry, neuropsychology, pain, sleep disorders, stroke, and other areas related to the neurosciences.
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